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Follicular mucinosis


European Journal of Dermatology. Volume 8, Number 7, 525-6, October - November 1998, Votre diagnostic ?

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Author(s) : Boaz AMICHAI, Marcelo H. GRUNWALD

Summary : A 15-year-old boy presented with an asymptomatic lesion on the shoulder that had been present for almost a year. Cutaneous examination revealed numerous small, coarse, follicular papules which were grouped in one plaque of 5 cm diameter. A diminish amount of vellus hair was seen on the lesion (Fig. 1). Histological examination of the lesion showed disruption with formation of cystic spaces within the epithelial cells of the pilosebaceous unit (Fig. 2). Physical examination, routine blood analysis, chest X-ray and abdominal ultrasound examination were all within normal limits. The patient was treated with intralesional injections of triamcinolone acetonide, the lesion resolved within two months.

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